Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
Data Exchange For Quality Measures Implementation Guide
5.0.0 - STU5
This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0: STU5 (v5.0.0)) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="Location-Aware-example"/>
<type value="transaction"/>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f01"/>
<resource>
<Location>
<id value="Loc-X140008"/>
<meta>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Location_Loc-X140008"> </a><p class="res-header-id"><b>Generated Narrative: Location Loc-X140008</b></p><a name="Loc-X140008"> </a><a name="hcLoc-X140008"> </a><a name="Loc-X140008-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Security Label: test health data (Details: ActReason code HTEST = 'test health data')</p></div><p><b>status</b>: Active</p><p><b>name</b>: CLARKE MEMORIAL HOSPITAL Building</p><p><b>mode</b>: Instance</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}">Hospital</span></p><p><b>address</b>: 701 W NORTH AVE MELROSE PARK IL 60160 USA (work)</p><p><b>physicalType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/location-physical-type si}">Site</span></p><h3>Positions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Longitude</b></td><td><b>Latitude</b></td></tr><tr><td style="display: none">*</td><td>-87.841101</td><td>41.908342</td></tr></table><p><b>managingOrganization</b>: <a href="Bundle-Location-Aware-example.html#Organization_X140008">Bundle: type = transaction</a></p></div>
</text>
<status value="active"/>
<name value="CLARKE MEMORIAL HOSPITAL Building"/>
<mode value="instance"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="HOSP"/>
</coding>
</type>
<address>
<use value="work"/>
<type value="both"/>
<line value="701 W NORTH AVE"/>
<city value="MELROSE PARK"/>
<district value="COOK"/>
<state value="IL"/>
<postalCode value="60160"/>
<country value="USA"/>
</address>
<physicalType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/location-physical-type"/>
<code value="si"/>
</coding>
</physicalType>
<position>
<longitude value="-87.841101"/>
<latitude value="41.908342"/>
</position>
<managingOrganization>
<reference value="Organization/X140008"/>
</managingOrganization>
</Location>
</resource>
<request>
<method value="POST"/>
<url value="Location"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f02"/>
<resource>
<Measure>
<id value="CDCPatientImpactAndHospitalCapacity"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Measure_CDCPatientImpactAndHospitalCapacity"> </a>
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Name (machine-readable)</th>
<td class="content-container">CDCPatientImpactAndHospitalCapacity</td>
</tr>
<tr>
<th scope="row" class="row-header">Title (human-readable)</th>
<td class="content-container">Patient Impact and Hospital Capacity</td>
</tr>
<tr>
<th scope="row" class="row-header">Status</th>
<td class="content-container">Draft</td>
</tr>
<tr>
<th scope="row" class="row-header">Experimental</th>
<td class="content-container">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements.</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Use Context</th>
<td class="content-container"><span title="{http://terminology.hl7.org/CodeSystem/usage-context-type focus}">Clinical Focus</span> = <span title="Codes:{http://snomed.info/sct 840539006}">COVID-19</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Developer</th>
<td class="content-container">Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN): <a href="mailto:mailto:nhsn@cdc.gov">mailto:nhsn@cdc.gov</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Steward</th>
<td class="content-container">HL7 International / Public Health</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container"><a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container"><a href="mailto:pher@lists.hl7.org">pher@lists.hl7.org</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container">Keith W. Boone: <a href="mailto:mailto:kboone@ainq.com">mailto:kboone@ainq.com</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page
<br/>
<em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Importing COVID-19 Patient Module Denominator data for Patient Safety Component
<br/>
<em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)
<br/>
<em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: CDC/NHSN COVID-19 Reporting CSV File Template
<br/>
<em>Citation</em>: <div><p>https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv</p>
</div>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Version Number</th>
<td class="content-container">1.0.1</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Scoring</th>
<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Definition</th>
<td class="content-container"><div><p>Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).</p>
<p>Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.</p>
<p>ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)</p>
</div></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>
</tr>
<tr>
<th scope="row" class="row-header">All Hospital Beds</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Hospital Inpatient Beds</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Hospital Inpatient Bed Occupancy</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">ICU Beds</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">ICU Bed Occupancy</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU</p>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>
</tr>
<tr>
<th scope="row" class="row-header">Mechanical Ventilators</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Mechanical Ventilators in Use</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways.</p>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>
</tr>
<tr>
<th scope="row" class="row-header">Hospitalized COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Hospitalized and Ventilated COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Hospital Onset COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">ED/Overflow COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">ED/Overflow and Ventilated COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">COVID-19 Patient Deaths</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">All COVID-19 Confirmed or Suspected Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue).</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Ventilated COVID-19 Patients</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19.</p>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><code>http://example.org/fhir/saner/StructureDefinition/NHSNMeasureLibrary</code></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://example.org/fhir/saner/StructureDefinition/ReportingPeriod">
<valueTiming>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</valueTiming>
</extension>
<url
value="http://example.org/fhir/saner/Measure/CDCPatientImpactAndHospitalCapacity"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.42.29.3"/>
</identifier>
<version value="1.0.1"/>
<name value="CDCPatientImpactAndHospitalCapacity"/>
<title value="Patient Impact and Hospital Capacity"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2024-05-18T21:25:01+00:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="email"/>
<value value="pher@lists.hl7.org"/>
</telecom>
</contact>
<contact>
<name value="Keith W. Boone"/>
<telecom>
<system value="email"/>
<value value="mailto:kboone@ainq.com"/>
</telecom>
</contact>
<description
value="This measure demonstrates reporting on bed availability and use at a facility location based on CDC/NHSN reporting requirements."/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="840539006"/>
<display value="COVID-19"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<author>
<name
value="Centers for Disease Control/National Healthcare Safety Network (CDC/NHSN)"/>
<telecom>
<system value="email"/>
<value value="mailto:nhsn@cdc.gov"/>
</telecom>
</author>
<relatedArtifact>
<type value="documentation"/>
<label value="NHSN COVID-19 Reporting"/>
<display
value="CDC/NHSN COVID-19 Patient Impact & Hospital Capacity Module Home Page"/>
<citation
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/acute-care-hospital/covid19/"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="How to import COVID-19 Summary Data"/>
<display
value="Importing COVID-19 Patient Module Denominator data for Patient Safety Component"/>
<citation
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/import-covid19-data-508.pdf"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Table of Instructions"/>
<display
value="Instructions for Completion of the COVID-19 Patient Impact and Hospital Capacity Module Form (CDC 57.130)"/>
<citation
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/57.130-toi-508.pdf"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="CSV File Template"/>
<display value="CDC/NHSN COVID-19 Reporting CSV File Template"/>
<citation
value="https://web.archive.org/web/20200501215043/https://www.cdc.gov/nhsn/pdfs/covid19/covid19-test-csv-import.csv"/>
</relatedArtifact>
<library
value="http://example.org/fhir/saner/StructureDefinition/NHSNMeasureLibrary"/>
<scoring>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</scoring>
<definition
value="Ventilator
: Any device used to support, assist or control respiration (inclusive of the weaning period) through the application of positive
pressure to the airway when delivered via an artificial airway, specifically an oral/nasal endotracheal or tracheostomy tube.
Note: Ventilation and lung expansion devices that deliver positive pressure to the airway (for example: CPAP, BiPAP, bi-level, IPPB and
PEEP) via non-invasive means (for example: nasal prongs, nasal mask, full face mask, total mask, etc.) are not considered ventilators
unless positive pressure is delivered via an artificial airway (oral/nasal endotracheal or tracheostomy tube).
Beds
: Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds.
ICU beds
: Include NICU (from CDC Webinar 31-Mar-2020) (outstanding question on burn unit)"/>
<group>
<extension
url="http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Location"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="91537007"/>
<display value="Hospital bed, device (physical object)"/>
</coding>
<text value="Hospital Beds"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Beds"/>
<display value="Beds"/>
</coding>
<text value="Hospital Bed Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numTotBeds"/>
<display value="All Hospital Beds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Total number of all Inpatient and outpatient beds, including all staffed,ICU, licensed, and overflow (surge) beds used for inpatients or outpatients"/>
</code>
<description
value="Enter the total number of all hospital beds, including inpatient and outpatient beds. All staffed, licensed,
and overflow and surge/expansion beds used for inpatients or outpatients. This includes ICU beds."/>
<criteria>
<description value="A bed in any location"/>
<name value="numTotBeds"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-BedDeviceTypes and location.physicalType in %ValueSet-BedLocationTypes)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numbeds"/>
<display value="Hospital Inpatient Beds"/>
</coding>
<text
value="Inpatient beds, including all staffed, licensed, and overflow (surge) beds used for inpatients"/>
</code>
<description
value="Required. Enter the total number of all inpatient beds, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes intensive care unit (ICU) beds."/>
<criteria>
<description
value="A Bed where the location is an inpatient location."/>
<name value="numbeds"/>
<language value="text/fhirpath"/>
<expression
value="%numTotBeds.where(location.type in %ValueSet-InpatientLocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numBedsOcc"/>
<display value="Hospital Inpatient Bed Occupancy"/>
</coding>
<text
value="Total number of staffed inpatient beds that are occupied"/>
</code>
<description
value="Enter the total number of staffed inpatient beds occupied by patients at the time the data is collected, including all staffed, licensed, and overflow and surge/expansion beds created for inpatient care. This includes ICU beds.
CDC Webinar 31-Mar-2020:
Baby beds in mom's room count as 1 bed, even if there are multiple baby beds
Follow-up in progress if staffed is less than licensed.
Total includes all beds, even if with surge beds it exceeds licensed beds."/>
<criteria>
<description
value="An Inpatient Bed where the Bed is occupied."/>
<name value="numBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBeds"/>
<display value="ICU Beds"/>
</coding>
<text value="ICU Bed Occupancy"/>
</code>
<description
value="Enter the total number of staffed Intensive Care Unit (ICU) beds.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description
value="A Bed where the location is an inpatient ICU location."/>
<name value="numICUBeds"/>
<language value="text/fhirpath"/>
<expression
value="%numbeds.where(location.type in %ValueSet-ICULocations)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBedsOcc"/>
<display value="ICU Bed Occupancy"/>
</coding>
<text
value="Total number of staffed inpatient intensive care unit (ICU) beds"/>
</code>
<description
value="Enter the total number of staffed ICU beds occupied by patients at the time the data is collected.
CDC Webinar 31-Mar-2020:
ICU beds include NICU"/>
<criteria>
<description value="An ICU Bed that is occupied."/>
<name value="numICUBedsOcc"/>
<language value="text/fhirpath"/>
<expression
value="%numICUBeds.where(location.operationalStatus = %ValueSet-OccupiedBed)"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Device"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="706172005"/>
<display value="Ventilator (physical object)"/>
</coding>
<text value="Ventilator"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Ventilators"/>
<display value="Ventilators"/>
</coding>
<text value="Hospital Ventilators Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numVent"/>
<display value="Mechanical Ventilators"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="Total number of ventilators available"/>
</code>
<description
value="Enter the total number of mechanical ventilators, including anesthesia machines and
portable/transport ventilators available in the facility.
Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description
value="A Device that is used for ventilation and could be used (e.g., not broken, transferred, etc)"/>
<name value="numVent"/>
<language value="text/fhirpath"/>
<expression
value="Device.where(type in %ValueSet-VentilatorDevices and status = active)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numVentUse"/>
<display value="Mechanical Ventilators in Use"/>
</coding>
<text value="Total number of ventilators in use"/>
</code>
<description
value="Enter the total number of mechanical ventilators use at the time the data is collected, including anesthesia
machines and portable/transport ventilators. Include BiPAP machines if the hospital uses BiPAP to deliver positive pressure ventilation via artificial airways."/>
<criteria>
<description
value="A ventilator that is attached to a patient."/>
<name value="numVentUse"/>
<language value="text/fhirpath"/>
<expression value="%numVent.where(patient!={})"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="Encounter"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="308335008"/>
<display value="Patient encounter procedure (procedure)"/>
</coding>
<text value="Encounter"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="structure"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="count"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Encounters"/>
<display value="Encounters"/>
</coding>
<text value="Hospital COVID-19 Encounters Reporting"/>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HospPats"/>
<display value="Hospitalized COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient care location who have suspected or confirmed COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is collected
who have suspected or confirmed COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an inpatient location"/>
<name value="numC19HospPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-InpatientLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19MechVentPats"/>
<display
value="Hospitalized and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed who have suspected or confirmed COVID-19 and are on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed who have
suspected or confirmed COVID-19 and are currently on a mechanical ventilator* at the time the data is collected . This includes the
patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter in an inpatient setting on a ventilator"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression value="%numC19HospPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HOPats"/>
<display value="Hospital Onset COVID-19 Patients"/>
</coding>
<text
value="Patients currently hospitalized in an inpatient bed with onset of suspected or
confirmed COVID-19 fourteen or more days after hospital admission due to a condition other than COVID-19"/>
</code>
<description
value="Enter the number of patients hospitalized in an inpatient bed at the time the data is
collected with onset of suspected or confirmed COVID-19 fourteen or more days after hospitalization (admission date = hospital
day 1). This includes laboratory-confirmed or clinically diagnosed COVID-19 cases."/>
<criteria>
<description
value="Encounters associated with suspected or confirmed COVID-19 with onset > 14 days after start"/>
<name value="numC19HOPats"/>
<language value="text/fhirpath"/>
<expression
value="Condition.where(
code in %ValueSet-SuspectedOrDiagnosedCOVID19
and encounter in %numC19HospPats
and onset + 14 days > encounter.period.start).encounter"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OverflowPats"/>
<display value="ED/Overflow COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who are currently in the Emergency Department (ED) or any overflow location awaiting an inpatient bed"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the
Emergency Department(ED) or any overflow/expansion location awaiting placement in an inpatient bed at the time the data
is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Overflow locations include any physical
locations created to accommodate patients include but not limited to 24-hour observation units, hallways, parking lots, or tents."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OverflowPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(location.where(status='active' and type in %ValueSet-EDorOverflowLocations))"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OFMechVentPats"/>
<display
value="ED/Overflow and Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who currently are in the ED or any overflow location awaiting an inpatient bed and on a mechanical ventilator"/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who are in the ED or any overflow/expansion location on a
mechanical ventilator* at the time the data is collected . This includes patients with laboratory-confirmed or clinically diagnosed COVID-19."/>
<criteria>
<description
value="An COVID-19 encounter where the active location is an ED or Overflow location"/>
<name value="numC19OFMechVentPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19OverflowPats.intersect(%numC19VentPats)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Died"/>
<display value="COVID-19 Patient Deaths"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 who died in the hospital, ED or any overflow location on the date for which you are reporting."/>
</code>
<description
value="Enter the number of patients with suspected or confirmed COVID-19 who died in the hospital, ED, or any overflow location. This
includes patients with laboratory-confirmed or clinically diagnosed COVID-19. Please enter the count of deaths newly occurred, at the time
the data is collected instead of the cumulated number of deaths."/>
<criteria>
<description
value="All C19 Patients who have died in an encounter during the reporting period."/>
<name value="numC19Died"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.hospitalization.dispostion in %ValueSet-PatientDied"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Pats"/>
<display
value="All COVID-19 Confirmed or Suspected Patients"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 in any location."/>
</code>
<description
value="Enter the number of patients in any location at the time the data is collected who have suspected or confirmed
COVID-19. This includes the patients with laboratory-confirmed or clinically diagnosed COVID-19.
Confirmed: A patient with a laboratory confirmed COVID-19 diagnosis
Suspected: A patient without a laboratory confirmed COVID-19 diagnosis who, in accordance with CDC’s Interim Public Health Guidance
for Evaluating Persons Under Investigation (PUIs), has signs and symptoms compatible with COVID-19 (most patients with confirmed
COVID-19 have developed fever and/or symptoms of acute respiratory illness, such as cough, shortness of breath or myalgia/fatigue)."/>
<criteria>
<description
value="Active encounters where the encounter diagnosis is suspected or confirmed COVID-19,
or a Condition of suspected or confirmed COVID-19 was created during that encounter."/>
<name value="numC19Pats"/>
<language value="text/fhirpath"/>
<expression
value="Encounter.where(clinicalStatus = 'active' and diagnosis.condition.ofType(Condition).code in %ValueSet-SuspectedOrDiagnosedCOVID19)
| Encounter.where(clinicalStatus = "active" and Condition.where(code in %ValueSet-SuspectedOrDiagnosedCOVID19).encounter = $this)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19VentPats"/>
<display value="Ventilated COVID-19 Patients"/>
</coding>
<text
value="Patients in any location who have suspected or confirmed COVID-19 and are currently on a ventilator."/>
</code>
<description
value="Enter the number of patients in any location who have suspected or confirmed COVID-19 and are
currently on a mechanical ventilator* at the time the data is collected. This includes the patients with laboratory-confirmed or clinically
diagnosed COVID-19."/>
<criteria>
<description
value="A COVID-19 encounter where the patient is ventilated"/>
<name value="numC19VentPats"/>
<language value="text/fhirpath"/>
<expression
value="%numC19Pats.where(Device.where(type in %ValueSet-VentilatorDevices and status = active).patient = $this.patient)"/>
</criteria>
</population>
</group>
</Measure>
</resource>
<request>
<method value="POST"/>
<url value="Measure"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f03"/>
<resource>
<Organization>
<id value="X140008"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_X140008"> </a><p class="res-header-id"><b>Generated Narrative: Organization X140008</b></p><a name="X140008"> </a><a name="hcX140008"> </a><a name="X140008-en-US"> </a><p><b>identifier</b>: <code>http://sanerproject.org/connectathon/hospitals</code>/X140008</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: CLARKE MEMORIAL HOSPITAL</p><p><b>address</b>: 701 W NORTH AVE MELROSE PARK IL 60160 USA (work)</p></div>
</text>
<identifier>
<system value="http://sanerproject.org/connectathon/hospitals"/>
<value value="X140008"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
</coding>
</type>
<name value="CLARKE MEMORIAL HOSPITAL"/>
<address>
<use value="work"/>
<type value="both"/>
<line value="701 W NORTH AVE"/>
<city value="MELROSE PARK"/>
<district value="COOK"/>
<state value="IL"/>
<postalCode value="60160"/>
<country value="USA"/>
</address>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f04"/>
<resource>
<Organization>
<id value="NJ-DPH"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_NJ-DPH"> </a><p class="res-header-id"><b>Generated Narrative: Organization NJ-DPH</b></p><a name="NJ-DPH"> </a><a name="hcNJ-DPH"> </a><a name="NJ-DPH-en-US"> </a><p><b>name</b>: New Jersey Department of Public Health</p></div>
</text>
<name value="New Jersey Department of Public Health"/>
</Organization>
</resource>
<request>
<method value="POST"/>
<url value="Organization"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f05"/>
<resource>
<MeasureReport>
<id value="ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting</b></p><a name="ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting"> </a><a name="hcExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting"> </a><a name="ExampleNJ-20200404-FEMADailyHospitalCOVID19Reporting-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:375c3957-9219-11ea-1863-09173f13e4c5</p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href="Bundle-Location-Aware-example.html">FEMA Laboratory Orders and Results Daily Increase Reporting</a></p><p><b>date</b>: 2020-04-04 00:00:00-0500</p><p><b>reporter</b>: <a href="Bundle-Location-Aware-example.html#Organization_NJ-DPH">New Jersey Department of Public Health</a></p><p><b>period</b>: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500</p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem positiveIncreasePercent}">positiveIncreasePercent</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalOrdersIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">totalOrdersIncrease</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalTestResultsIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}">totalTestResultsIncrease</span></p><p><b>count</b>: 7853</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues positiveIncrease}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}">positiveIncrease</span></p><p><b>count</b>: 4229</p></blockquote><p><b>measureScore</b>: 53.85 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem positivePercent}">positivePercent</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalOrders}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">totalOrders</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues rejected}, {http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}">rejected</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues totalTestResults}, {http://terminology.hl7.org/CodeSystem/measure-population denominator}">totalTestResults</span></p><p><b>count</b>: 75356</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues positive}, {http://terminology.hl7.org/CodeSystem/measure-population numerator}">positive</span></p><p><b>count</b>: 34124</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues allReports}">All Laboratory Reports for any Order</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues latestReports}">Most Recent Laboratory Reports for any Order</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 45.28 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code% = '%')</span></p></blockquote></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:375c3957-9219-11ea-1863-09173f13e4c5"/>
</identifier>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://example.org/fhir/saner/Measure/FEMADailyHospitalCOVID19Reporting"/>
<date value="2020-04-04T00:00:00-05:00"/>
<reporter>
<reference value="Organization/NJ-DPH"/>
<display value="New Jersey Department of Public Health"/>
</reporter>
<period>
<start value="2020-04-04T00:00:00-05:00"/>
<end value="2020-04-04T00:00:00-05:00"/>
</period>
<group>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positiveIncreasePercent"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrdersIncrease"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResultsIncrease"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="7853"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="positiveIncrease"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="4229"/>
</population>
<measureScore>
<value value="53.85"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</measureScore>
</group>
<group>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positivePercent"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrders"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="rejected"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResults"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="75356"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="positive"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="34124"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="allReports"/>
</coding>
<text value="All Laboratory Reports for any Order"/>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="latestReports"/>
</coding>
<text value="Most Recent Laboratory Reports for any Order"/>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<measureScore>
<value value="45.28"/>
<unit value="%"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</measureScore>
</group>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f06"/>
<resource>
<MeasureReport>
<id value="ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MeasureReport_ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity"> </a><p class="res-header-id"><b>Generated Narrative: MeasureReport ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity</b></p><a name="ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity"> </a><a name="hcExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity"> </a><a name="ExampleNJ-20200404-CDCPatientImpactAndHospitalCapacity-en-US"> </a><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:f87d8777-876e-11ea-1639-09173f13e4c5</p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href="Bundle-Location-Aware-example.html">Patient Impact and Hospital Capacity</a></p><p><b>date</b>: 2020-04-04 00:00:00-0500</p><p><b>reporter</b>: <a href="Bundle-Location-Aware-example.html#Organization_NJ-DPH">New Jersey Department of Public Health</a></p><p><b>period</b>: 2020-04-04 00:00:00-0500 --> 2020-04-04 00:00:00-0500</p><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Beds}">Beds</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numTotBeds}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">numTotBeds</span></p><p><b>count</b>: 20000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numbeds}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numbeds</span></p><p><b>count</b>: 15000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numBedsOcc}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numBedsOcc</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numICUBeds}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numICUBeds</span></p><p><b>count</b>: 2500</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numICUBedsOcc}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numICUBedsOcc</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 34</p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Ventilators}">Ventilators</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numVent}, {http://terminology.hl7.org/CodeSystem/measure-population initial-population}">numVent</span></p><p><b>count</b>: 2250</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numVentUse}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numVentUse</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 11</p></blockquote><blockquote><p><b>group</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem Encounters}">Encounters</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19HospPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19HospPats</span></p><p><b>count</b>: 4000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19MechVentPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19MechVentPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19HOPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19HOPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19OverflowPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19OverflowPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19OFMechVentPats}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19OFMechVentPats</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19Died}, {http://terminology.hl7.org/CodeSystem/measure-population measure-population}">numC19Died</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19Pats}">Patients with suspected or confirmed COVID-19 in any location.</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title="Codes:{http://example.org/fhir/saner/CodeSystem/MeasuredValues numC19VentPats}">Ventilated COVID-19 Patients</span></p><p><b>count</b>: Absent because : unsupported</p></blockquote><p><b>measureScore</b>: 233</p></blockquote></div>
</text>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:f87d8777-876e-11ea-1639-09173f13e4c5"/>
</identifier>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://example.org/fhir/saner/Measure/CDCPatientImpactAndHospitalCapacity"/>
<date value="2020-04-04T00:00:00-05:00"/>
<reporter>
<reference value="Organization/NJ-DPH"/>
<display value="New Jersey Department of Public Health"/>
</reporter>
<period>
<start value="2020-04-04T00:00:00-05:00"/>
<end value="2020-04-04T00:00:00-05:00"/>
</period>
<group>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Beds"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numTotBeds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="20000"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numbeds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count value="15000"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numBedsOcc"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBeds"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count value="2500"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numICUBedsOcc"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<measureScore>
<value value="34"/>
</measureScore>
</group>
<group>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Ventilators"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numVent"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="2250"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numVentUse"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<measureScore>
<value value="11"/>
</measureScore>
</group>
<group>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="Encounters"/>
</coding>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HospPats"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count value="4000"/>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19MechVentPats"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19HOPats"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OverflowPats"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19OFMechVentPats"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Died"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="measure-population"/>
</coding>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19Pats"/>
</coding>
<text
value="Patients with suspected or confirmed COVID-19 in any location."/>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="numC19VentPats"/>
</coding>
<text value="Ventilated COVID-19 Patients"/>
</code>
<count>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unsupported"/>
</extension>
</count>
</population>
<measureScore>
<value value="233"/>
</measureScore>
</group>
</MeasureReport>
</resource>
<request>
<method value="POST"/>
<url value="MeasureReport"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f07"/>
<resource>
<Measure>
<id value="FEMADailyHospitalCOVID19Reporting"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Measure_FEMADailyHospitalCOVID19Reporting"> </a>
<table class="narrative-table">
<tbody>
<tr>
<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Name (machine-readable)</th>
<td class="content-container">FEMADailyHospitalCOVID19Reporting</td>
</tr>
<tr>
<th scope="row" class="row-header">Title (human-readable)</th>
<td class="content-container">FEMA Laboratory Orders and Results Daily Increase Reporting</td>
</tr>
<tr>
<th scope="row" class="row-header">Status</th>
<td class="content-container">Draft</td>
</tr>
<tr>
<th scope="row" class="row-header">Experimental</th>
<td class="content-container">true</td>
</tr>
<tr>
<th scope="row" class="row-header">Description</th>
<td class="content-container"><div><p>This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts.</p>
</div></td>
</tr>
<tr>
<th scope="row" class="row-header">Use Context</th>
<td class="content-container"><span title="{http://terminology.hl7.org/CodeSystem/usage-context-type focus}">Clinical Focus</span> = <span title="Codes:{http://snomed.info/sct 840539006}">COVID-19</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Topic</th>
<td class="content-container"><span title="Codes:{http://snomed.info/sct 252318005}">Immunology laboratory test (procedure)</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Developer</th>
<td class="content-container">HL7 Public Health Workgroup: <a href="mailto:mailto:pher@lists.hl7.org">mailto:pher@lists.hl7.org</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Steward</th>
<td class="content-container">HL7 International / Public Health</td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container"><a href="http://www.hl7.org/Special/committees/pher">http://www.hl7.org/Special/committees/pher</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container"><a href="mailto:pher@lists.hl7.org">pher@lists.hl7.org</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Steward Contact Details</th>
<td class="content-container">Keith W. Boone: <a href="mailto:mailto:kboone@ainq.com">mailto:kboone@ainq.com</a></td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing
<br/>
<em>Citation</em>: <div><p>https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Text of a Letter from the Vice President to Hospital Administrators
<br/>
<em>Citation</em>: <div><p>https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator
<br/>
<em>Citation</em>: <div><p>https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19</p>
</div>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Documentation</th>
<td class="content-container">
<em>Description</em>: Template for Daily Hospital COVID-19 Reporting.xlsx
<br/>
<em>Citation</em>: <div><p>https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx</p>
</div>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Metadata</th>
</tr>
<tr>
<th scope="row" class="row-header">Version Number</th>
<td class="content-container">1.0.1</td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Scoring</th>
<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}">Continuous Variable</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Measure Type</th>
<td class="content-container"><span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-type outcome}">Outcome</span></td>
</tr>
<tr>
<th scope="row" class="row-header">Rate Aggregation</th>
<td class="content-container">count</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>
</tr>
<tr>
<th scope="row" class="row-header">New Diagnostic Tests Ordered/Received</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of new Diagnostic Tests Ordered/Received during the reporting period.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">New Tests Resulted</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of results recieved/generated during the reporting period.
Do not include results where the test could not be completed because the specimen
was rejected or a positive/negative result could not be established</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">New Positive COVID-19 Tests</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the number of positive test results released during the reporting period.</p>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Population Criteria</th>
</tr>
<tr>
<th scope="row" class="row-header">Cumulative Diagnostic Tests Ordered/Received</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the cumulative number of tests ordered to date.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Cumulative Specimens Rejected</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the cumulative number of specimens rejected for testing to date.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Cumulative Tests Performed</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number tests with results released to date. Do not include tests where a
positive/negative result could not be determined (e.g., because the specimen was inadequate).</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Cumulative Positive COVID-19 Tests</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">Enter the total number of positive test results release to date.</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">All Laboratory Reports for any Order</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">This is in intermediate population used to simplify calculations</p>
</td>
</tr>
<tr>
<th scope="row" class="row-header">Most Recent Laboratory Reports for any Order</th>
<td class="content-container">
<em>Description</em>:
<p style="white-space: pre-line" class="tab-one">This is in intermediate population used to simplify calculations</p>
</td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Measure Logic</th>
</tr>
<tr>
<th scope="row" class="row-header">Primary Library</th>
<td class="content-container"><code>http://example.org/fhir/saner/StructureDefinition/FEMAMeasureLibrary</code></td>
</tr>
<tr>
<th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
</tbody>
</table>
</div>
</text>
<extension
url="http://example.org/fhir/saner/StructureDefinition/ReportingPeriod">
<valueTiming>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</valueTiming>
</extension>
<url
value="http://example.org/fhir/saner/Measure/FEMADailyHospitalCOVID19Reporting"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.42.29.5"/>
</identifier>
<version value="1.0.1"/>
<name value="FEMADailyHospitalCOVID19Reporting"/>
<title
value="FEMA Laboratory Orders and Results Daily Increase Reporting"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2024-05-18T21:25:01+00:00"/>
<publisher value="HL7 International / Public Health"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/pher"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="email"/>
<value value="pher@lists.hl7.org"/>
</telecom>
</contact>
<contact>
<name value="Keith W. Boone"/>
<telecom>
<system value="email"/>
<value value="mailto:kboone@ainq.com"/>
</telecom>
</contact>
<description
value="This measure demonstrates reporting about Daily Laboratory Testing at a inpatient test sites capturing laboratory orders and results daily increase and cumulative counts."/>
<useContext>
<code>
<system
value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
<code value="focus"/>
</code>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="840539006"/>
<display value="COVID-19"/>
</coding>
</valueCodeableConcept>
</useContext>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<topic>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
</topic>
<author>
<name value="HL7 Public Health Workgroup"/>
<telecom>
<system value="email"/>
<value value="mailto:pher@lists.hl7.org"/>
</telecom>
</author>
<relatedArtifact>
<type value="documentation"/>
<label value="CMS Press Release"/>
<display
value="Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing"/>
<citation
value="https://www.cms.gov/newsroom/press-releases/trump-administration-engages-americas-hospitals-unprecedented-data-sharing"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label
value="Vice President Pence Letter to Hospital Administrators"/>
<display
value="Text of a Letter from the Vice President to Hospital Administrators"/>
<citation
value="https://www.whitehouse.gov/briefings-statements/text-letter-vice-president-hospital-administrators/"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="AHA Advisory on COVID-19 Reporting"/>
<display
value="Administration Requests Hospitals Report Daily on COVID-19 Testing Results, Bed and Ventilator"/>
<citation
value="https://www.aha.org/advisory/2020-03-30-coronavirus-update-administration-requests-hospitals-report-daily-covid-19"/>
</relatedArtifact>
<relatedArtifact>
<type value="documentation"/>
<label value="Excel Spreadsheet template for reporting to FEMA"/>
<display
value="Template for Daily Hospital COVID-19 Reporting.xlsx"/>
<citation
value="https://images.magnetmail.net/images/clients/AHA_MCHF/attach/2020/March/0330/Template_for_Daily_Hospital_COVID19_Reporting.xlsx"/>
</relatedArtifact>
<library
value="http://example.org/fhir/saner/StructureDefinition/FEMAMeasureLibrary"/>
<scoring>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</scoring>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</coding>
</type>
<rateAggregation value="count"/>
<group>
<extension
url="http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="ServiceRequest"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 Diagnostic Testing"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="cumulative"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positiveIncreasePercent"/>
<display value="Percent Positive among Newly Resulted Tests"/>
</coding>
<text
value="# of new positive test results released / # of total new tests released for previous date queried"/>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrdersIncrease"/>
<display value="New Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text
value="Midnight to midnight cutoff, tests ordered on previous date queried"/>
</code>
<description
value="Enter the number of new Diagnostic Tests Ordered/Received during the reporting period."/>
<criteria>
<description value="Orders initiated during %reportingPeriod"/>
<name value="totalOrdersIncrease"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
authoredOn.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResultsIncrease"/>
<display value="New Tests Resulted"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text
value="Midnight to midnight cutoff, test results released on previous date queried"/>
</code>
<description
value="Enter the number of results recieved/generated during the reporting period.
Do not include results where the test could not be completed because the specimen
was rejected or a positive/negative result could not be established"/>
<criteria>
<description value="Results recieved during reporting period"/>
<name value="totalTestResultsIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(
issued.toDate() = %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('final, 'amended', 'corrected', 'appended')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="positiveIncrease"/>
<display value="New Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text
value="Midnight to midnight cutoff, positive test results released on previous date queried"/>
</code>
<description
value="Enter the number of positive test results released during the reporting period."/>
<criteria>
<description
value="Result is positive with respect to COVID-19"/>
<name value="positiveIncrease"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResultsIncrease and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</criteria>
</population>
</group>
<group>
<extension
url="http://example.org/fhir/saner/StructureDefinition/MeasureGroupAttributes">
<extension url="scoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="continuous-variable"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="subject">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/resource-types"/>
<code value="ServiceRequest"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="252318005"/>
<display value="Immunology laboratory test (procedure)"/>
</coding>
<text value="COVID-19 Cumulative Diagnostic Testing"/>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="outcome"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="improvementNotation">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="decrease"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="rateAggregation">
<valueString value="cumulative"/>
</extension>
</extension>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasureGroupSystem"/>
<code value="positivePercent"/>
<display
value="Cumulative Percent Positive among Resulted Tests"/>
</coding>
<text
value="# of total positive results to released date / # of total tests results released to date"/>
</code>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalOrders"/>
<display
value="Cumulative Diagnostic Tests Ordered/Received"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
<text value="All tests ordered to date."/>
</code>
<description
value="Enter the cumulative number of tests ordered to date."/>
<criteria>
<description
value="Report all active or completed test orders for a COVID-19 test authored during the reporting period"/>
<name value="totalOrders"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
authoredOn.toDate() <= %reportingPeriod /* May need to change logic to support ranges for reportingPeriod */
and status in ('active', 'completed')
and code in %ValueSet-COVID19DiagnosticTest
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="rejected"/>
<display value="Cumulative Specimens Rejected"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
<text value="All specimens rejected for testing to date"/>
</code>
<description
value="Enter the cumulative number of specimens rejected for testing to date."/>
<criteria>
<description
value="DiagnosticReport for COVID-19 where the report is unavailable because the measurement was not started or not completed."/>
<name value="rejected"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(status = 'cancelled' and code in %ValueSet-COVID19DiagnosticTest)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="totalTestResults"/>
<display value="Cumulative Tests Performed"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
<text value="All tests with results released to date"/>
</code>
<description
value="Enter the total number tests with results released to date. Do not include tests where a
positive/negative result could not be determined (e.g., because the specimen was inadequate)."/>
<criteria>
<description
value="Report all active or completed test orders for a COVID-19 test authored during or prior to the end of the reporting period that have had results released."/>
<name value="totalTestResults"/>
<language value="text/fhirpath"/>
<expression
value="ServiceRequest.where(
status in ('active', 'completed')
and intent in ('order', 'orginal-order', 'reflex-order', 'filler-order', 'instance-order')
)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="positive"/>
<display value="Cumulative Positive COVID-19 Tests"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
<text value="All positive test results released to date"/>
</code>
<description
value="Enter the total number of positive test results release to date."/>
<criteria>
<description value="The result is positive for COVID-19"/>
<name value="positive"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where($this in %totalTestResults and conclusionCode in %ValueSet-ConfirmedCOVID19Diagnosis)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="allReports"/>
<display value="All Laboratory Reports for any Order"/>
</coding>
<text
value="Reports to date including corrected, amended and canceled reports"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Diagnostic Reports provided in response to totalOrders"/>
<name value="allReports"/>
<language value="text/fhirpath"/>
<expression
value="DiagnosticReport.where(basedOn in %totalOrders)"/>
</criteria>
</population>
<population>
<code>
<coding>
<system
value="http://example.org/fhir/saner/CodeSystem/MeasuredValues"/>
<code value="latestReports"/>
<display
value="Most Recent Laboratory Reports for any Order"/>
</coding>
<text value="Latest Reports to date for each order"/>
</code>
<description
value="This is in intermediate population used to simplify calculations"/>
<criteria>
<description
value="Most recent diagnostic reports provided in response to totalOrders"/>
<name value="latestReports"/>
<language value="text/fhirpath"/>
<expression value="TBD"/>
</criteria>
</population>
</group>
</Measure>
</resource>
<request>
<method value="POST"/>
<url value="Measure"/>
</request>
</entry>
</Bundle>
IG © 2020+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-deqm#5.0.0 based on FHIR 4.0.1. Generated 2025-05-19
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